Palonosetron hcl at LEWISGALE MEDICAL CENTER

1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785

Source: hospital's published price file ↗ · Published Mar 7, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.42 with TriAtlantic vs $383.00 with United Behavioral Health — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
TriAtlantic TRICR $0.42
Health Net TRICR $0.45
Humana Military TRCR $0.48
United AllPayerAppendix $1.05
Aetna MGMCR $57.45
Cigna NPR $66.64
Virginia Health Network ULTRA $134.05
United OptionsPPO $139.79
Cigna HMO $153.58
Cigna PPO $168.52
United GlobalBenefitPlan $172.35
Naphcare Federal $191.50
Greenvbrier Sporting Club COMM $229.80
Graham-White Manufacturing COMM $268.10
Richfield Nursing Center COMM $268.10
Virginia Health Network WC $271.93
Virginia Health Network COMM $271.93
CorVel WorkersComp $275.76
Community Care Network COMM $287.25
Richfield Retirement Community COMM $287.25
OccuNet Workers Comp WorkersComp $306.40
One Health Plan POS $306.40
One Health Plan PPO $306.40
CSX Hotels Product $306.40
Patients Choice COMM $337.04
Star Transportation COMM $344.70
Multiplan PHCS $344.70
PHCS COMM $344.70
4Most COMM $344.70
Alleghany Highland Community COMM $344.70
American Postal Workers Union COMM $344.70
C&O Employees Hospital Assn COMM $344.70
United Behavioral Health VACCN $383.00

Visitor-reported prices

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Palonosetron hcl at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-PULASKI PULASKI $1,149.00 $0.38 – $0.93
RESTON HOSPITAL CENTER VIENNA $346.66 $0.44 – $0.93
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $0.42 – $0.93
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $0.42 – $0.93
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $0.48 – $0.93
STONESPRINGS HOSPITAL CENTER Dulles not published $0.38 – $0.93

All Virginia hospitals for this procedure →